Individual provider · Type 1 NPI
Dawn Marie Gustitus, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Ann Arbor, MI
NPI number
1609962497
Active
Practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2335
Mailing address
12243 Newman Rd
Brighton, MI 48114-8114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704176264 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1609962497
Dawn Marie Gustitus, NURSE PRACTITIONER's National Provider Identifier is 1609962497, issued on Oct 5, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 28, 2019.